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03D2131976 CLIA NUMBER - CCHCI SEABHS CLINIC

Laboratory Demographics

CLIA Number: 03D2131976

Facility Name: CCHCI SEABHS CLINIC

Facility Address:
4755 CAMPUS DRIVE
SIERRA VISTA, AZ
ZIP 85635
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Facility Phone Number: (520) 459-3012

Facility Type: FEDERALLY QUALIFIED HEALTH CENTER

Certificate Type: Waiver

NPI Number: 1487175162

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2131976
LAB Type FEDERALLY QUALIFIED HEALTH CENTER
Facility Name CCHCI SEABHS CLINIC
Street 4755 CAMPUS DRIVE
City SIERRA VISTA
State AZ
ZIP 85635
Phone (520) 459-3012

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This page was last updated on: 5/11/2023